# SHAH ASSOCIATES MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013115666
- **Authorized official:** SUSIE HOLMAN (CLINICAL COORDINATOR)
- **Authorized official phone:** (301) 373-7911

## Contact information

- **Practice address:** 26840 POINT LOOKOUT RD, SHANTI MEDICAL CENTER, LEONARDTOWN, MD 20650
- **Practice address phone:** (301) 475-5577
- **Practice address fax:** (301) 475-7419
- **Mailing address:** 24035 THREE NOTCH RD, P O BOX 640, HOLLYWOOD, MD 20636-4871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2007
- **Last updated:** 09/11/2025